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Home care prevents cognitive and functional decline in frail elderly.

Abstract

Today home health care (HHC) programs have been developed in numerous Western countries, in order to answer the questions regarding the care of frail elderly suffering from polypathologies and, therefore, being at high risk of disability. The HHC program of the Israelite Hospital of Rome has been planned as a complementary model, and not as a substitute of hospitalization, being able to offer flexible services, suitable for each elderly patient. The present study has established that taking care of old patients in their home allows us to prevent the deterioration of cognitive performance and functional impairments,as measured by the mini mental state examination (MMSE), the scales of activity of daily living (ADL), and the instrumental activity of daily living (IADL), respectively. We found considerable improvements also in the mood disorders during HHC, as measured by the geriatric depression scale (GDS). All psychometric tests were administered at the beginning of home care and after almost 1 year. Moreover, we formulated some questions regarding the quality of the offered services, and the answers revealed great satisfaction of both the patients and their caregivers.

Authors+Show Affiliations

Geriatric Department, Israelite Hospital of Rome, I-00148 Rome, Italy. carlofelice@cheapnet.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15207406

Citation

Di Gioacchino, C F., et al. "Home Care Prevents Cognitive and Functional Decline in Frail Elderly." Archives of Gerontology and Geriatrics. Supplement, 2004, pp. 121-5.
Di Gioacchino CF, Ronzoni S, Mariano A, et al. Home care prevents cognitive and functional decline in frail elderly. Arch Gerontol Geriatr Suppl. 2004.
Di Gioacchino, C. F., Ronzoni, S., Mariano, A., Di Massimo, M., Porcino, R., Calvetti, D., Coen, D., Zuccaro, L. M., & Zuccaro, S. M. (2004). Home care prevents cognitive and functional decline in frail elderly. Archives of Gerontology and Geriatrics. Supplement, (9), 121-5.
Di Gioacchino CF, et al. Home Care Prevents Cognitive and Functional Decline in Frail Elderly. Arch Gerontol Geriatr Suppl. 2004;(9)121-5. PubMed PMID: 15207406.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Home care prevents cognitive and functional decline in frail elderly. AU - Di Gioacchino,C F, AU - Ronzoni,S, AU - Mariano,A, AU - Di Massimo,M, AU - Porcino,R, AU - Calvetti,D, AU - Coen,D, AU - Zuccaro,L M, AU - Zuccaro,S M, PY - 2004/6/23/pubmed PY - 2004/10/22/medline PY - 2004/6/23/entrez SP - 121 EP - 5 JF - Archives of gerontology and geriatrics. Supplement JO - Arch Gerontol Geriatr Suppl IS - 9 N2 - Today home health care (HHC) programs have been developed in numerous Western countries, in order to answer the questions regarding the care of frail elderly suffering from polypathologies and, therefore, being at high risk of disability. The HHC program of the Israelite Hospital of Rome has been planned as a complementary model, and not as a substitute of hospitalization, being able to offer flexible services, suitable for each elderly patient. The present study has established that taking care of old patients in their home allows us to prevent the deterioration of cognitive performance and functional impairments,as measured by the mini mental state examination (MMSE), the scales of activity of daily living (ADL), and the instrumental activity of daily living (IADL), respectively. We found considerable improvements also in the mood disorders during HHC, as measured by the geriatric depression scale (GDS). All psychometric tests were administered at the beginning of home care and after almost 1 year. Moreover, we formulated some questions regarding the quality of the offered services, and the answers revealed great satisfaction of both the patients and their caregivers. SN - 0924-7947 UR - https://www.unboundmedicine.com/medline/citation/15207406/Home_care_prevents_cognitive_and_functional_decline_in_frail_elderly_ L2 - https://medlineplus.gov/homecareservices.html DB - PRIME DP - Unbound Medicine ER -